Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 3897 | KY |
N | 111NR0200X | Radiology | IN08001209 | IN |
N | 213ER0200X | Radiology | IN08001209 | IN |
N | 111NR0400X | Rehabilitation Chiropractor | IN08001209 | IN |
NPI | 1407944606 |
---|---|
Provider Name | John R Krawchison |
First Address | Louisville, KY 40215-2371 |
Second Address | Louisville, KY 40215-2371 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/10/2006 |
Last Update Date | 26/04/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
200106150 | (05) | IN |
7100074680 | (05) | KY |
T54479 | (02) | IN |